{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:03:24Z","timestamp":1756339404467,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,10,27]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>A female in her 20s presented with a diminution of vision in the right eye (RE) following an open globe injury (scleral penetration) and repair a year back. At the presentation, she had low intraocular pressure (IOP) of 7\u2009mm Hg, posterior subcapsular cataract (PSC), retrolental vitreous bands incarcerated at the penetration site, disc oedema, tortuous vessels and choroidal folds. Inferotemporal and superonasal cyclodialysis clefts were detected on CASIA 2 optical coherence tomography (OCT). The diagnosis of RE repaired scleral penetration, PSC and cyclodialysis cleft with hypotony maculopathy was made. The case was managed by phacoemulsification with an intraocular lens in the bag and a capsular tension ring in the sulcus, as a tamponading agent to close the cleft. Intraoperatively on endoscopic visualisation, vitreous membrane was noticed encasing the ciliary processes causing a tractional cyclodialysis and hence single port 23G pars plana vitrectomy was performed to relieve the traction. Postsurgery, IOP was 14\u2009mm Hg, and the repaired cleft was visualised on anterior segment OCT.<\/jats:p>","DOI":"10.1136\/bcr-2022-252123","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T20:05:30Z","timestamp":1716840330000},"page":"e252123","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Endocyclotamponade with pars plana vitrectomy for management of post-traumatic tractional cyclodialysis cleft"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3585-7771","authenticated-orcid":false,"given":"Somya","family":"Kumari","sequence":"first","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aayush","family":"Majumdar","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ragib","family":"Khan","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2120-3651","authenticated-orcid":false,"given":"Shikha","family":"Gupta","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,27]]},"reference":[{"key":"2025082701395351000_17.5.e252123.1","doi-asserted-by":"publisher","DOI":"10.3109\/09273948.2011.647228"},{"key":"2025082701395351000_17.5.e252123.2","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1097\/IAE.0000000000000838","article-title":"Endoscopy assisted vitrectomy and membrane dissection of anterior proliferative vitreoretinopathy for chronic hypotony after previous retinal detachment repair","volume":"36","author":"Lee","year":"2016","journal-title":"Retina"},{"key":"2025082701395351000_17.5.e252123.3","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1136\/bjo.85.10.1260a","article-title":"Tractional ciliary body detachment, choroidal effusion, and hypotony caused by severe anterior lens capsule contraction following cataract surgery","volume":"85","author":"Srinivasan","year":"2001","journal-title":"Br J Ophthalmol"},{"key":"2025082701395351000_17.5.e252123.4","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1097\/OPX.0000000000001518","article-title":"Case report: cyclodialysis cleft in a case of open-globe injury and role of swept-source anterior segment optical coherence tomography in diagnosis","volume":"97","author":"Selvan","year":"2020","journal-title":"Optom Vis Sci"},{"key":"2025082701395351000_17.5.e252123.5","unstructured":"Kiely AE , Salim S , Aref AA . Cyclodialysis cleft after trauma - AAO. 2022."},{"key":"2025082701395351000_17.5.e252123.6","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1111\/ceo.13316","article-title":"Dynamic gonioscopy and ultrasound biomicroscopy for diagnosis of latent or low\u2010lying cyclodialysis clefts","volume":"46","author":"Gupta","year":"2018","journal-title":"Clin Exp Ophthalmol"},{"key":"2025082701395351000_17.5.e252123.7","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-303559"},{"key":"2025082701395351000_17.5.e252123.8","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1111\/aos.14210","article-title":"Cyclodialysis: an updated approach to surgical strategies","volume":"97","author":"Selvan","year":"2019","journal-title":"Acta Ophthalmologica"},{"key":"2025082701395351000_17.5.e252123.9","doi-asserted-by":"crossref","DOI":"10.1186\/s12886-020-01375-3","article-title":"Intraocular endoscopy for the evaluation and treatment of hypotony due to a traumatic cyclodialysis: a case report","volume":"20","author":"Bair","year":"2020","journal-title":"BMC Ophthalmol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-252123","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:40:03Z","timestamp":1756284003000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-252123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":9,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,27]]},"published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1136\/bcr-2022-252123"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-252123","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}